Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Tarsal Tunnel Syndrome & Nerve Entrapments

= Compression of the tibial nerve in the tarsal tunnel

Anatomy:The Tarsal Tunnel - From Stoller: MRI Arthroscopy & Anatomy of the Joints

The tarsal tunnel is formed by the flexor retinaculum behind and distal to the medial malleolus

Contents from ant. to post.: (Tom Dick ANd Harry)

  • Tibialis Posterior Tendon
  • Flexor Digitorum Longus tendon
  • Posterior Tibial artery
  • Posterior Tibial Nerve
  • Flexor Hallucis Longus tendon

Posterior tibial nerve 

  • is a branch of the sciatic nerve 
  • enters the deep posterior compartment of the leg between the two heads of the gastrocnemius. 
  • It passes deep to the soleus and travels distally between it and the posterior tibialis muscle. 
  • 3 terminal branches in the tarsal tunnel
    • medial plantar nerve - Sensation to the plantar-medial aspect of the foot from the great toe to the medial half of the 4th toe. Motor to the abductor hallucis, flexor brevi &  the 1st lumbrical.
    • lateral plantar nerve - Sensation to the 4th & 5th rays & toes. Motor to ADQ, the interossei, adductor hallucis, 2nd to 5th lumbricals. 
    • the calcaneal branch - can be of a variable origin. Provides sensation to the heel pad.

Aetiology:

  1. An accessory FDL muscle 
  2. Proliferative synovitis - Rheumatoid
  3. Ganglia 
  4. Varicosities
  5. Lipomas
  6. Neurilemomas 


This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.


© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 09 February 2005Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Accessory Bones
Adult Hallux Valgus
Amputations of the Foot & Ankle
Anatomy of the Foot & Ankle
Ankle Arthritis
Ankle Fractures
Ankle Instability
Ankle Sprains
Arthritis in Children
Arthrodeses of the Foot & Ankle
Arthroscopy of the Foot & Ankle
Bibliography
Biomechanics of the Foot & Ankle
BOFSS Syllabus for FRCS (Tr & Orth)
Bunionettes
Calcaneal Fractures
Compartment Syndrome
Diabetic Foot
Foot & Ankle Hyperbook
Foot & Heel Pain
Freiberg's disease
Hallux Rigidus
Hyperkeratotic Pathology of the Pla...
Lesser Toe Deformities
Lisfranc Fractures
Morton's Neuroma
OCD & Osteochondoses of the Foot & ...
Other Foot Fractures
Peroneal Tendon Injuries
Rheumatoid Foot
Rheumatoid Forefoot
Sesamoids
Sinus Tarsi Syndrome
Soft Tissue Impingement
Tarsal Tunnel Syndrome & Nerve Entr...
Tendo Achilles Disorders
tendo achilles references
Tendon Disorders
Hide Menu